Provider Demographics
NPI:1477552404
Name:COHEN, SEYMOUR MARTIN (MD)
Entity Type:Individual
Prefix:
First Name:SEYMOUR
Middle Name:MARTIN
Last Name:COHEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1045 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-0138
Mailing Address - Country:US
Mailing Address - Phone:212-249-9141
Mailing Address - Fax:212-628-2948
Practice Address - Street 1:1045 5TH AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-0138
Practice Address - Country:US
Practice Address - Phone:212-249-9141
Practice Address - Fax:212-628-2948
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY091494207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY08647POtherGHI MEDICARE
NY00822922Medicaid
NY08657GOtherGHI MEDICARE
NY526271Medicare ID - Type Unspecified
NY00822922Medicaid